Professional Summary
Overview
Work History
Education
Skills
Timeline

Jeannine Childs

Mohawk Valley Health System
Utica,NY
25
years of professional experience

Analytical Claims Reviewer with over 11 years of experience in Group Life Claims. Expertise in claims investigations, regulatory compliance, and process improvement drives operational efficiency and enhances client satisfaction. Skilled in critical analysis and customer relationship management, ensuring accurate claim handling and optimal outcomes.

Work History

Receptionist

5 Months
Mohawk Valley Health System | 05.2026 - Current
  • Greeted patients and visitors, delivered courteous front-desk support, and directed traffic to appropriate departments.
  • Answered phones, routed calls efficiently, and relayed accurate messages to clinical staff.
  • Processed registration paperwork, obtained signatures, and maintained compliant documentation for patient encounters.
  • Protected confidential information and followed HIPAA guidelines during daily patient interactions.
  • Scheduled appointments, confirmed visit details, and coordinated calendars with medical office teams.
  • Verified patient information and updated records in electronic health systems with strong attention to accuracy.

Group Life Claim Reviewer

10 Years 7 Months
Metlife | 08.2015 - 03.2026
  • Keyed, processed, and reviewed claim-related mail and payments of claims up to $100,000.00.
  • Researching information from both internal and external systems regarding claimants and customer's plan guidelines
  • Coordinated referral of claims exceeding $100,000 to examiners for further evaluation.

Contributed over 20 years at Metlife, focusing the last 11 years in the Group Life Claims Unit.

Disability Claims & Customer Service

13 Years 2 Months
Metlife | 11.2001 - 01.2015
  • Determined eligibility for long term disability claims by conducting interviews, gathering medical documentation, and ensuring compliance with group plan guidelines, facilitating timely decisions for claimants
  • Collected critical information from claimants, employers, and health care providers to expedite claim processing, resulting in more efficient service delivery
  • Answered phone inquiries and filed new claims telephonically in group disability customer service team, enhancing customer experience and ensuring accurate claim submissions

Education

Some College (No Degree) - Psychology

Utica College | Utica, NY
  • One semester left to obtain a Bachelor's Degree

Associate of Applied Science - General Studies

Mohawk Valley Community College | Utica, NY | 08-1993

Skills

Claim processing
Regulatory compliance
Medical documentation
Conflict resolution
Appointment scheduling
Client management
Customer relationship management
Process improvement
Information verification
Patient intake
Fact-checking
Professional demeanor

Timeline

Receptionist

Mohawk Valley Health System
05.2026 - CurrentRead More

Group Life Claim Reviewer

Metlife
08.2015 - 03.2026Read More

Disability Claims & Customer Service

Metlife
11.2001 - 01.2015Read More

Utica College

Some College (No Degree) from Psychology
Read More

Mohawk Valley Community College

Associate of Applied Science from General Studies
Read More
Jeannine Childs